急性胰腺炎的螺旋CT诊断分级方法及临床意义  

Spiral CT in the Diagnosis of Acute Pancreatitis Classification Method and Its Clinical Significance

作　　者：高志华[1] 时建军[1] 简纪华[1] 任宏伟[1] 

机构地区：[1]武汉科技大学附属天佑医院,武汉430064

出　　处：《影像技术》2013年第5期15-18,共4页Image Technology

摘　　要：目的:探讨急性胰腺炎的螺旋CT诊断分级方法及临床意义。方法:从我院确诊的急性胰腺炎患者中选取52例,对其资料进行分析。结果:Ⅰ型坏死共计6例,其中3例为4分Ⅰ型坏死,2例为5分Ⅰ型坏死,1例为6分Ⅰ型坏死。Ⅱ型坏死共计7例,其中4例7分Ⅱ型坏死,3例8分Ⅱ型坏死。Ⅲ型坏死共计7例,其中4例为9分Ⅲ型坏死,3例为10分Ⅲ型坏死。根据CT分级结果来看,E级共计10例,其中4分3例,6分1例,8分3例,10分3例。同时根据CTSI分级统计结果来看,轻级患者的平均住院时间仅需要9.4d,中级患者则需要21.1d,而重级患者则需要40.3d。结论:螺旋CT能够更加直观地为急性胰腺炎临床诊断提供形态学数据,并且结合CTSI能够准确掌握急性胰腺炎的病变程度,为临床的诊断和治疗提供最科学可靠的依据。Objective： Study of spiral CT in the diagnosis of acute pancreatitis classification method and its clinical significance. Methods： From patients in our hospital in patients with acute pancreatitis were selected from 52 cases, Analysis of the data. Result： A total of 6 cases of type I necrosis, Among 3 patients with 4 type I necrosis, 2 patients with 5 type I necrosis, 1 patients with 6 type I necrosis. Type II necrosis in 7 cases, Among 4 patients with 7 type II necrosis, 3 patients with 8 type II necrosis. Type III necrosis in 7 cases, Among 4 patients with 9 type llI necrosis, 3 patients with i0 type m necrosis. According to CT classification results, a total of 10 cases of E grade, among them 4 cases were 3, 6 points in 1 case, 8 points in 3 cases, and 10 points in 3 cases. At the same time, according to the statistical results of CTSI grading, the average hospitalization time light patients only need 9.4d, intermediate patients will need 21. ld, heavier patients will need 40. 3d. Conclusion： Spiral CT can be more intuitive to provide morphological data for the clinical diagnosis of acute pancreatitis, and combined with CTSI can accurately grasp the severity of acute pancreatitis, to provide the most reliable scientific basis for the clinical diagnosis and treatment.

关 键 词：急性胰腺炎 螺旋CT 诊断分级 

分 类 号：R816.6[医药卫生—放射医学] R657.51[医药卫生—临床医学]